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BLOSSOM BIRTH CENTER NPI 1679846141


NPI Information

NPI: 1679846141
Provider Name: BLOSSOM BIRTH CENTER
Classification: Clinic/Center - 261QB0400X
Entity Type: Organization

Specialization: Birthing

CLIA Number: 03D2012490

Address:
2928 N 18TH PL
PHOENIX, AZ
ZIP 85016
Phone: (623) 322-0730
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BLOSSOM BIRTH CENTER is a birthing clinic center in Phoenix, AZ. The provider is a freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. BLOSSOM BIRTH CENTER NPI is 1679846141. The provider is registered as an organization entity type.

The provider's business location address is:

2928 N 18TH PL
PHOENIX, AZ
ZIP 85016-705
Phone: (623) 322-0730
Fax: (623) 374-4592

The provider's authorized official is Nichelle Whitehead .
The authorized official title is Lead Physician and has the following contact phone number (602) 256-7766.

The CLIA number assigned to this NPI record is 03D2012490 - other - birth center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/14/2012 and was last updated on 2/14/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QB0400XClinic/CenterBirthingOTC4901ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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